Organization
JENNY G KOPP DDS MS LTD PREM ENDO OF HINSDALE
Active
Other names
Premier Endodontics of Hinsdale
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY ANN MUCKER (OFFICE MANAGER)
(630) 655-3636
Entity
Organization
Contact information
Practice address
522 CHESTNUT STREET, SUITE GA, HINSDALE, IL 60521
(630) 655-3636
(630) 655-3767
Mailing address
522 CHESTNUT STREET, SUITE GA, HINSDALE, IL 60521
(630) 655-3636
(630) 655-3767
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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